Table 7.
Demographics and hospital outcomes of discharge records of patients with a principal discharge diagnosis of diverticular disease, gallstone disease or benign pancreatitis stratified by background liver disease n (%)
|
Diverticular disease (n = 2703) |
Gallstone disease (n = 8600) |
Benign pancreatitis (n = 9298) |
|||||||
| NAFLD (n = 898) | OLD (n = 1805) | P value | NAFLD (n = 2622) | OLD (n = 5978) | P value | NAFLD (n = 2224) | OLD (n = 7074) | P value | |
| Average age (yr) | 55.1 ± 13.5 | 62.7 ± 14.2 | < 0.0001 | 50.5 ± 16.7 | 57.7 ± 17.4 | < 0.0001 | 47.8 ± 15.5 | 51.9 ± 14.0 | < 0.0001 |
| Female Gender | 501 (55.8) | 897 (49.7) | < 0.003 | 1606 (61.3) | 3056 (51.2) | < 0.0001 | 1058 (47.6) | 2796 (39.5) | < 0.0001 |
| Non-elective admission | 791 (88.3) | 1612 (89.5) | 0.36 | 2305 (88.4) | 5137 (86.0) | < 0.0001 | 2110 (95.1) | 6680 (94.5) | < 0.0001 |
| Ethnicity | < 0.0001 | < 0.0001 | < 0.0001 | ||||||
| White | 610 (74.5) | 1174 (72.1) | 1575 (65.3) | 3532 (65.5) | 1376 (67.8) | 3910 (60.8) | |||
| Black | 48 (5.9) | 236 (14.5) | 166 (6.9) | 633 (11.7) | 196 (9.7) | 1355 (21.1) | |||
| Hispanic | 128 (15.7) | 159 (9.8) | 519 (21.5%) | 882 (16.4) | 339 (16.7) | 854 (13.3) | |||
| Other | 33 (4.0) | 60 (3.7) | 152 (6.3) | 344 (6.4) | 119 (5.9) | 313 (4.9) | |||
| Diabetes mellitus | 276 (30.7) | 440 (24.4) | 0.0004 | 816 (31.1) | 1603 (26.8) | < 0.0001 | 984 (44.2) | 1974 (27.9) | < 0.0001 |
| Hypertension | 490 (54.6) | 1021 (56.6) | 0.32 | 1285 (49.0) | 2892 (48.4) | < 0.0001 | 1222 (55.0) | 3524 (49.8) | < 0.0001 |
| Obesity | 252 (28.1) | 200 (11.1) | < 0.0001 | 1010 (38.5) | 770 (12.9) | < 0.0001 | 680 (30.6) | 561 (7.9) | < 0.0001 |
| Dyslipidemia | 319 (35.5) | 451 (25.0) | < 0.0001 | 818 (31.2) | 1233 (20.6) | < 0.0001 | 1093 (49.2) | 1359 (19.2) | < 0.0001 |
| Metabolic syndrome | 178 (19.8) | 195 (10.8) | < 0.0001 | 567 (21.6) | 638 (10.7) | < 0.0001 | 662 (29.8) | 721 (10.2) | < 0.0001 |
| Location | 0.02 | < 0.0001 | < 0.0001 | ||||||
| Central Metro | 268 (30.6) | 537 (30.7) | 835 (32.5) | 1775 (30.7) | 603 (27.8) | 2184 (32.6) | |||
| Fringe Metro | 247 (28.2) | 436 (24.9) | 707 (27.5) | 1379 (23.9) | 600 (27.6) | 1554 (23.2) | |||
| Metro below one million | 185 (21.1) | 322 (18.4) | 505(19.7) | 1132 (19.6) | 406 (18.7) | 1373 (20.5) | |||
| 50000-250000 | 53 (6.1) | 147 (8.4) | 160 (6.2) | 427 (7.4) | 185 (8.5) | 536 (8.0) | |||
| Micropolitan | 81 (9.3) | 187 (10.7) | 237 (9.2) | 651 (11.3) | 238 (11.0) | 626 (9.3) | |||
| Other | 42 (4.8) | 119 (6.8) | 124 (4.8) | 411 (7.1) | 140 (6.5) | 437 (6.5) | |||
| Median zip code income ($) | 0.0008 | < 0.0001 | < 0.0001 | ||||||
| < 39000 | 202 (22.8) | 502 (28.5) | 632 (24.6) | 166 (28.9) | 556 (25.6) | 2334 (34.4) | |||
| 39000-47999 | 209 (23.5) | 437 (24.8) | 640 (24.9) | 1550 (26.9) | 534 (24.6) | 1734 (25.5) | |||
| 48000-63000 | 233 (26.2) | 445 (25.2) | 676 (26.3) | 1446 (25.1) | 564 (25.9) | 1527 (22.5) | |||
| > 63000 | 244 (27.5) | 380 (21.5) | 618 (24.1) | 1107 (19.2) | 520 (23.9) | 1196 (17.6) | |||
| Primary payer | < 0.0001 | < 0.0001 | < 0.0001 | ||||||
| Medicare | 256 (28.5) | 866 (48.1) | 659 (25.2) | 2461 (41.2) | 523 (23.6) | 2028 (28.8) | |||
| Medicaid | 60 (6.7) | 181 (10.1) | 382 (14.6) | 1016 (17.0) | 320 (14.4) | 1682 (23.9) | |||
| Private | 469 (52.2) | 562 (31.2) | 1229 (46.9) | 1687 (28.3) | 971 (43.7) | 1742 (24.7) | |||
| Self-pay | 75 (8.4) | 119 (6.6) | 215 (8.2) | 531 (8.9) | 295 (13.3) | 1054 (15.0) | |||
| No charge | 6 (0.7) | 15 (0.8) | 27 (1.0) | 53 (0.9) | 24 (1.1) | 128 (1.8) | |||
| Other | 32 (3.6) | 58 (3.2) | 106 (4.1) | 219 (3.7) | 87 (3.9) | 418 (5.9) | |||
| Major operative procedure | 109 (12.1) | 333 (18.5) | < 0.0001 | 2002 (76.4) | 3327 (55.7) | < 0.0001 | 294 (13.2) | 652 (9.2) | < 0.0001 |
| Average total hospital charges ($) | 26868.7 ± 26364.6 | 46666.9 ± 80222.8 | < 0.0001 | 40016.5 ± 32898.6 | 49682.8 ± 65425.9 | < 0.0001 | 32680.5 ± 42691.0 | 45115.5 ± 83193.4 | < 0.0001 |
| Average length of hospital stay (d) | 4.2 ± 3.4 | 6.0 ± 8.3 | < 0.0001 | 4.0 ± 3.4 | 5.6 ± 6.1 | < 0.0001 | 4.9 ± 4.4 | 6.2 ± 8.4 | < 0.0001 |
| Discharge Disposition | < 0.0001 | < 0.0001 | < 0.0001 | ||||||
| Routine | 821 (91.4) | 1355 (75.2) | 2403 (91.8) | 4492 (75.3) | 2013 (90.5) | 5396 (76.3) | |||
| Acute care | 2 (0.2) | 33 (1.8) | 32 (1.2) | 240 (4.0) | 45 (2.0) | 209 (3.0) | |||
| Another health facility | 25 (2.8) | 158 (8.8) | 66 (2.5) | 503 (8.4) | 47 (2.1) | 480 (6.8) | |||
| Home Health | 44 (4.9) | 184 (10.2) | 101 (3.9) | 487 (8.2) | 86 (3.9) | 361 (5.1) | |||
| AMA | 5 (0.6) | 17 (0.9) | 14 (0.5) | 81 (1.4) | 22 (1.0) | 325 (4.6) | |||
| Other | 0 | 3 (0.2) | 0 | 7 (0.1) | 0 | 4 (0.1) | |||
| Died in hospital | 1 (0.1) | 53 (2.9) | < 0.0001 | 3 (0.1) | 157 (2.6) | < 0.0001 | 11 (0.5) | 296 (4.2) | < 0.0001 |
| APRDRG Mortality risk | < 0.0001 | < 0.0001 | < 0.0001 | ||||||
| Minor | 530 (59.0) | 783 (43.4) | 1457 (55.6) | 2123 (35.5) | 1177 (52.9) | 2658 (37.6) | |||
| Moderate | 278 (31.0) | 563 (31.2) | 936 (35.7) | 2095 (35.1) | 746 (33.5) | 2308 (32.6) | |||
| Major | 82 (9.1) | 291 (16.1) | 188 (7.2) | 1187 (19.9) | 238 (10.7) | 1318 (18.6) | |||
| Extreme | 8 (0.9) | 167 (9.3) | 37 (1.4) | 571 (9.6) | 61 (2.7) | 785 (11.1) | |||
| APRDRG Severity | < 0.0001 | < 0.0001 | < 0.0001 | ||||||
| Minor functional loss | 0 | 163 (9.0) | 1 (0.04%) | 377 (6.3) | 1 (0.04) | 347 (4.9) | |||
| Moderate functional loss | 645 (71.8) | 747 (41.4) | 1828 (69.7) | 2371 (39.7) | 1318 (59.3) | 2721 (38.5) | |||
| Major functional loss | 231 (25.7) | 697 (38.6) | 715 (27.3) | 2393 (40.0) | 791 (35.6) | 2855 (40.4) | |||
| Extreme functional loss | 22 | 197 (10.9) | 74 | 835 (14.0) | 112 (5.0) | 1146 (16.2) | |||
| -2.5 | -2.8 | ||||||||
NAFLD: Nonalcoholic fatty liver disease; OLD: Other liver diseases; AMA: American medical association.